Overview The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the Client Engagement Leader, Client Medical Director (CMD), the MPD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The MPDs role is to serve as a coding and medical payment policy subject matter expert (SME), with the assistance of a CMD. The MPD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The MPD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back-end support for Cotiviti’s and the client’s Medical Directors. The MPD will evolve as the trusted advisor for the Health Plan in terms of medical payment policy. Responsibilities - Act as a knowledgebase expert regarding the Cotiviti Medical Policy library. - Gain an understanding of each client’s unique lines of business, medical policy standards and system configuration strategy to inform optimization opportunities. - Analyze client data and identify new medical policy opportunities for presentation including valuation and validation of editing. - Examine and select specific claim examples to utilize in a presentation to the client to support the understanding of the new medical policy. - Prepare various documents and presentation materials for use during internal payment policy committee meetings and/or client meetings. - Review all documents and coordinate reviews with the CMD to evaluate and validate the editing and financial impact. - Confidently perform client policy presentations to highlight the facts of each rule, the data that supports the policy recommendation, the impact to claims processing, and the associated value. - Successfully advocate for the adoption of new medical policies by clients to optimize the value Cotiviti offers. - Participate in client meetings as required as a medical policy subject matter expert. - Coordinate with the internal client team to ensure that all requested follow-up items are delivered to the client. - Inspire trust and credibility with clients. - Communicate effectively across various organizational levels and members of the internal and external client teams. - Assist in identifying opportunities for other Cotiviti product solutions. - Complete all responsibilities as outlined in the annual performance review and/or goal setting. - Complete all special projects and other duties as assigned. - Must be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change. Qualifications - Bachelor’s Degree in a relevant field or equivalent. - Professional coder certification required (CPC, CPC-A, CCA, CCS, or CCS-P), RHIT or RHIA certification a plus. - Minimum of 7-10 years of work experience, preferably in sales, customer service or client management. - Minimum of 5 years of experience in claim payment adjudication, medical payment/policy editing applying Medicare, Medicaid, ICD, CPT, HCPCS and other specialty society guidelines preferred. - Health plan, managed care or health insurance experience preferred. - Exceptional presentation, interpersonal, verbal and written communication skills. - Superior organizational skills with the ability to work in a fast-faced environment, prioritize, and manage multiple competing deadlines with minimal direction. - Strong problem-solving skills and an ability to think strategically. - Ability to analyze complex data and synthesize it for general consumption. - Demonstrated strategy and analytical thinking skills, with the ability to effectively communicate conclusions and recommendations to diverse audiences. - Excellent computer skills in Microsoft Word, Excel, PowerPoint, and Outlook are a must. - Willingness/availability to travel 10-20% is required. Mental Requirements: - Communicating with others to exchange information. - Assessing the accuracy, neatness, and thoroughness of the work assigned. - Ability to work with a high volume of transactions in a timely manner and meet deadlines. - Must be able to perform daily functions with little or no direct supervision. Working Conditions and Physical Requirements: - This remote role can be located anywhere in the continental US. - Remaining in a stationary position, often standing or sitting for prolonged periods. - Must be able to perform duties with or without reasonable accommodation. - Must be able to provide a dedicated, secure work area. - Must be able to provide high-speed internet access/connectivity and office setup and maintenance. - No adverse environmental conditions are expected. Base compensation ranges from $120,000 to $145,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 3/6/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/6/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-JB1 #LI-Remote #senior

All Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete the application through “My Draft Applications” located on your Candidate Home page. Job Posting Title: Virtual - Research Mentor Position Type: Non-Employee Wages as Earned (Fixed Term) Department: LSUAM AA - APSS - CainCtr - College Readiness (Frank M Neubrander (00001538) (Inherited)) Work Location: 0222 A.T. Prescott Hall Pay Grade: Job Description: Research mentors plan 3-4 potential mathematics research projects accessible to high school students. At the start of Math Circle, they present their proposals, and will ultimately be assigned to two groups of 2-4 students each. For the rest of the program, they are responsible for virtually supervising these students and guiding them through their research project, as well as aiding them in preparing their presentation at the end of the program. Job Responsibilities Plan 3-4 potential mathematics research projects accessible to high school students. (50%) Virtually supervise selected students through projects. (25%) Administer final project presentation. (25%) Minimum Qualifications Bachelor's degree LSU values skills, experience, and expertise. Candidates who have relevant experience in key job responsibilities are encouraged to apply— a degree is not required as long as the candidate meets the required years of experience specified in the job description. Additional Job Description: Special Instructions: Please provide a resume and three professional references, including name, title, phone number, and e-mail address. For questions or concerns regarding the status of your application or salary ranges, please contact the Cain Center at 225-578-6001 or caincenter@lsu.edu. Posting Date: March 6, 2026 Closing Date (Open Until Filled if No Date Specified): July 6, 2026 Additional Position Information: Background Check - An offer of employment is contingent on a satisfactory pre-employment background check. Benefits - LSU offers outstanding benefits to eligible employees and their dependents including health, life, dental, and vision insurance; flexible spending accounts; retirement options; various leave options; paid holidays; wellness benefits; tuition exemption for qualified positions; training and development opportunities; employee discounts; and more! Positions approved to work outside the State of Louisiana shall be employed through Louisiana State University’s partner, nextSource Workforce Solutions, for Employer of Record Services including but not limited to employment, benefits, payroll, and tax compliance. Positions employed through Employer of Record Services will be offered benefits and retirement as applicable through their provider and will not be eligible for State of Louisiana benefits and retirement. Essential Position (Y/N): LSU is an Equal Opportunity Employer. All candidates must have valid U.S. work authorization at the time of hire and maintain that valid work authorization throughout employment. Changes in laws, regulations, or government policies may impact the university’s ability to employ individuals in certain positions. HCM Contact Information: For questions or concerns related to updating your application with attachments (e.g., resumes, RS:17 documents), date of birth, or reactivating applications, please contact the LSU Human Resources Management Office at 225-578-8200 or email HR@lsu.edu. For questions or concerns regarding the status of your application or salary ranges, please contact the department using the information provided in the Special Instructions section of this job posting.

Department: 12827 Enterprise Corporate - Quality Abstraction Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: M-F, Normal business hours, Remote Pay Range $35.50 - $53.25 Essential Functions - Directs and executes multiple, concurrent projects independent of or with little supervision from leadership. - Leads the evaluation of the request for service to understand business and technical open issues to be clarified with the client. - Works in collaboration with the department's client to thoroughly understand the business needs, project scope, and anticipated deliverable associated with the request for service. - Leads the on-going interface with the client to develop analytic approaches to the request. - Understands and executes the development of specific population definitions to meet the needs of the project. - Recommends to the client and department, processes to balance the data needs for the project against the urgency and requirements for action. - Understands the context of the requested data and reports with other initiatives to develop sustainable solutions - Uses statistical techniques to describe and evaluate data and uses process analysis tools for the display, interpretation and presentation of data for management and organization action. - Provides value-added analysis and recommended follow up actions in support of the business needs. - Supports the process to integrate data from multiple sources to a single dataset for analysis. - Leads the review and validation of complex, custom datasets specific to the project. - Recommends and prepares to the client, a method of delivering results from the project to meet current and on-going needs and facilitates data discussion and interpretation. - Develops simple to complex reports utilizing various Business Intelligence tools. - Educates clients in clinical and financial operational concepts and their relationship to data. - Consults with clients to create methods to quantify key elements of their operational performance within the limitations of available data sources. - Guides clients through known and potential data issues, taking into consideration all data collection inconsistencies and inaccuracies in the source system. Physical Requirements Works in an office environment, sits at a desk, works with a computer, talks on the telephone, and prepares reports and other statistical data. Some time spent in meetings at a variety of facilities, makes presentations and offers advice to System executives. On occasion, requires standing, walking and traveling in personal car to other facilities. Occasionally requires carrying of up to 25 pounds of materials. Requires the ability to work rapidly and accurately under pressure, to work in a safe and effective manner, and to handle different issues and priorities simultaneously. Education, Experience and Certifications Bachelors degree in health related fields or Registered Nurse and 2 years experience in health related field required. Experience with healthcare data in a healthcare organization strongly preferred. Understands the elements of registries and databases relevant to assigned projects and identifies data integrity issues using complex analysis of the data. Communicates effectively in verbal, written, and electronic formats. Proficiency using computer software tools and Windows operating system. Strong organizational and time management abilities. Strong ability to apply the principles and practices of data management. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Staff Physician will be a foundational member of a newly forming team at Curative Medical Group. Reporting to the Lead Physician, you will provide high-quality, evidence-based care to members via telehealth. In this role, you will independently assess, diagnose, and treat acute conditions while utilizing our advanced AI-assisted clinical framework. You will play a vital role in the early success of this service line by providing clinical feedback to help refine workflows as the program scales. In addition to patient care, you will collaborate with the Lead Physician and other Curative teams to ensure a seamless transition for members into other health plan programs. - Deliver timely and safe virtual care for acute conditions, maintaining high standards of clinical empathy and quality to ensure a positive, member-centered experience. - Actively identify opportunities to connect members with other Curative programs, ensuring a seamless transition to broader health plan services. - Effectively apply our third-party AI framework and evidence-based protocols to maintain clinical safety and efficiency. - Maintain a strong collaborative relationship with the Lead Physician and peer clinicians in accordance with Curative clinical standards. - Provide real-time feedback on digital tools and clinical processes to help leadership refine the foundational operations of the program. - Work closely with Nurse Practitioners (NPs) and Physician Assistants (PAs) to meet state regulations, providing necessary clinical consultation, supervision, and support for collaborative agreements. Qualifications - MD or DO from an accredited medical school. - Active Board Certification in Family Medicine, Emergency Medicine, or Internal Medicine; Active BLS certification. - 3+ years of clinical experience in urgent care or emergency medicine; virtual telehealth experience preferred. - Active, unrestricted license in Texas. Must hold active Florida license or be eligible for registration/licensure immediately upon hire. Requirement to obtain additional state licenses as the program scales. - Ability to quickly master new digital health tools and AI-assisted platforms. - Proficiency in Spanish is highly valued. Requirements - Fully remote role. - All clinical care and collaboration are conducted virtually through approved internal communication platforms. - Occasional travel for team-building or training (<10%). Work Expectations & Schedule - This role is focused on direct patient care, managing a schedule of virtual urgent care visits. - This is an hourly role. Shifts are scheduled between the hours of 8am – 8pm CST. Scheduling models may vary. Benefits - Flexible work options: remote and in-person opportunities. - 401K for employees.